Gillie Court Care Home Service

Gillie Court Care Home Service Gillie Court Dunfermline KY11 4PA Inspected by: (Care Commission Officer) Type of inspection: Beth Martin Unannounced Inspection completed on: 18 March 2008 1/8

Service Number Service name CS2003006888 Gillie Court Service address Gillie Court Dunfermline KY11 4PA Provider Number Provider Name SP2004005874 Bield Housing Association Ltd Inspected By Inspection Type Beth Martin Care Commission Officer Unannounced Inspection Completed Period since last inspection 18 March 2008 8 months Local Office Address South Suite Largo House Carnegie Avenue Dunfermline KY11 8PE 2/8

Introduction Gillie Court is a modern purpose built accommodation situated centrally in Dunfermline. The service is provided by Bield Housing Association. The home can accommodate up to twelve elderly Service Users at any time in single en-suite rooms and a further 2 Service Users in full flats with a sitting room and separate bathroom. Brenda Robertson is the registered Manager for the service and is responsible for the day to day running of the home and the supervision of staff. Ms Robertson and Sandra Douglas Service Manager were both present on the day of the inspection. Basis of Report This report is based on an unannounced inspection visit carried out on 18th March 2008. The inspection was conducted by Beth Martin, Care Commission Officer. This service was inspected after a regulation Support Assessment (RSA) was carried out to determine the intensity of inspection necessary. The RSA is an assessment undertaken by the Care Commission Officer (CCO) which considers: complaints activity, changes in the provision of the service, nature of notifications made to the Care Commission by the service and action taken upon requirements. This assessment resulted in this service receiving a low RSA score therefore a low intensity inspection was carried out as a result. The inspection focused on action taken on recommendations and requirements from previous inspections and complaints or other regulatory activity. During the inspection evidence was gathered from a number of sources including: Policies and procedures Examination of relevant documentation including personal plans and training records Discussions with the Manager, Service Manager and staff Discussions with service users. The inspection was undertaken with reference to The Regulation of Care (Scotland) Act 2001 and The Regulation of Care (Requirements as to Care Services) (Scotland) Regulations 2002 and the National Care Standards - Care Homes for Older People. The Fire (Scotland) Act 2005 introduced new regulatory arrangements in respect of fire safety, on 1 October 2006. In terms of those arrangements, responsibility for enforcing the statutory provisions in relation to fire safety now lies with the Fire and Rescue service for the area in which a care service is located. Accordingly, the Care Commission will no longer report on matters of fire safety as part of its regulatory function, but, where significant fire safety issues become apparent, will alert the relevant Fire and Rescue service to their existence in order that it may act as it considers appropriate. Further advice on your responsibilities is available at www.infoscotland.com/firelaw. Action taken on requirements in last Inspection Report There were no requirements following the previous inspection. One recommendation and areas for development were made and are addressed within this report. 3/8

Comments on Self-Evaluation N/A. View of Service Users Comments from Service Users Included: "I like living here, I like everything about it" "There's not one person better than the other, they're all great." "They do everything for me". View of Carers Comments from Carers included: "It's like a family in here, I wouldn't change a thing." "I love it, there's nothing at all I would change." "We get loads of training, and training on specific topics if we ask". 4/8

Regulations / Principles National Care Standards National Care Standard Number 5: Care Homes for Older People - Management and Staffing Arrangements Strengths One recommendation was made following the previous inspection pertaining to making it easier for the Service Users to open and close the heavy doors within the home. A fire safety risk assessment was carried out on all the doors giving consideration to individual Service Users. As a result free swing door holders have been fitted to the doors leading to all communal areas and to one Service User's flat. A further two Service Users can now operate the front doors to their flats using remote control. The service has a Protection of Vulnerable People Policy which covers Child Protection and contains the relevant contact details. Service Users' personal plans have been amended to include risk assessments in regards to restraint. Although it is the ethos of Gillie Court not to carry out physical restraint the staff have received training in Challenging Behaviour and the Community Psychiatric Nurse has attended the home on one occasion to share de-escalation techniques with the staff. The Care Commission Officer was informed that if in the future a Service User was assessed as possibly requiring any form of physical restraint for safety reasons the appropriate training would be given. The staff have also received training in Recognising and Coping with Abuse/What is Restraint and Understanding Dementia. The service has had no adult abuse concerns since the last inspection but the Care Commission Officer was informed that there are strict policies and procedures to be followed should they be required. The policy - 'Protection of Vulnerable People' contains details of which professional bodies should be contacted in the event of disciplinary action being taken. These contact details include the Scottish Social Services Council (SSSC). The document "Fife Multi Agency Vulnerable Adult Protection Procedures" is also made reference to in the policy. The service has received no complaints since the previous inspection. Two members of staff are currently undertaking a sixteen week distance learning course on Dementia Awareness at James Watt College. A further three Carers are also undertaking training at the college, each one learning either Medication, Nutrition or Infection Control. The skills and knowledge gained during any training event is shared with the rest of the staff in house on completion. All Managers are attending 'Train the Trainer' training to enhance their teaching skills and assist with staff development. All staff who have attended training must complete an evaluation form issued by Human Resources, the forms have been amended to include a section on how individual practice has changed since the learning event for evaluation purposes. Other methods of evaluation include discussion with the Manager during supervision and observation of practice. The service has training records for statutory training and specific individual training. On the day of the inspection two Carers had an SVQ level II certificate, three Carers had an SVQ III certificate, three staff members had an SVQ level IV certificate including the Manager and a further two Carers were undertaking SVQ training. The Manager has also attained the 5/8

Registered Managers Award. The service does use volunteers. The organisation has a dedicated section for volunteer workers which includes a Volunteer Worker Manager and administration staff. There is also a Volunteer Implementation and Development Group. Volunteers are recruited using the same procedure as all staff and volunteer policies and procedures are in place. Volunteers receive a six week induction period to ascertain their suitability for the work they have volunteered to do and receive training appropriate to their role. The Assistant Manager at Gillie Court is the service's Local Volunteer Manager and is responsible for giving supervision to the volunteers and receiving their feedback about the service. Should the Local Volunteer Manager require advice or assistance, the organisation's Volunteer Manager is available. All local Volunteer Managers have received training in Recruitment, Selection and Support of Volunteers. When the Care Commission Officer was leaving the home the Service Users were looking forward to someone visiting the home to give them a demonstration on making and decorating chocolate. Areas for Development National Care Standard Number 19: Care Homes for Older People - Support and Care in Dying and Death Strengths It was noted during the previous inspection that some staff had received training on Palliative Care and other staff hadn't. Since then the Manager and the Assistant Manager have attended a one day course on Palliative Care delivered by Age Concern and are cascading the information to the staff in house. Most of the staff have also received Bield's organisational training 'Death and Dying'. Bield has revised its Palliative Care Guidelines and the staff have signed to say that they have read the document. On the day of the inspection the service had a copy of the national practice statements for general palliative care in adult care homes in Scotland - "Making Good Care Better". Again staff had signed to say that they were aware of the document. The Manager and Assistant Manager are also going to be delivering training to the staff using The Macmillan Cancer - Relief Foundations in Palliative Care materials. This training package consists of four modules: First Principles Communication Pain and Symptom Management Bereavement Care. The service also has a copy of the document 'Liverpool Care Pathway - promoting best practice for care of the dying' reference to this document is made within Bield's Palliative Care Guidelines. The Care Commission Officer was informed that the Deputy Manager in one of Gillie Court's sister homes has specialist knowledge in Palliative Care and is always available for advice and support. The service has a policy on accessing specialist advice from other healthcare services if required entitled Managing Specific Health Needs Policy. On the day of the inspection the Care Commission Officer was shown thank you cards which had been received by the service from grateful relatives following the demise of their loved 6/8

ones. The cards contained the following comments: "I feel that I've not just lost my mum but part of her family too." "It was very re-assuring that the whole team wanted to and were capable of giving mum the care she required". When a Service User passes away the family are always invited to have the 'funeral tea' at Gillie Court after the formal ceremony. This is in an effort to allow the other Service Users to attend and grieve naturally and to enable friends and family to see how and where the Service User spent the latter part of their lives. Areas for Development To ensure that the planned training in Palliative Care is delivered to all staff. 7/8

Enforcement There has been no enforcement action against this service since the last inspection. Other Information The Care Commission Officer informed the Manager of the 'Regulating for Improvement' project - a development which will significantly change how the Care Commission will regulate services from April 2008. It will mean better information, more involvement with people who use care services and their carers and the introduction of clear gradings which will help people make more informed choices about the care services they want to use. The Manager was advised by the Care Commission Officer to familiarise themselves with the information and briefings that have been made available at www.carecommission.com /Care Services/Regulating for Improvement/Information for Service Providers. Requirements Recommendations Beth Martin Care Commission Officer 8/8